TEN MILE SURGERY CENTER LLC NPI 1689260341

NPI Information

  • NPI: 1689260341
  • Provider Name: TEN MILE SURGERY CENTER, LLC
  • Classification: Clinic/Center - 261QA1903X
  • Specialization: Ambulatory Surgical
  • Entity Type: Organization
  • :
  • CLIA Number: 13D2215010
  • Address: 875 S VANGUARD WAY
    MERIDIAN, ID
    ZIP 83642
  • Phone: (208) 960-0870

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NPI Details

TEN MILE SURGERY CENTER, LLC is an ambulatory surgical clinic center in Meridian, ID. TEN MILE SURGERY CENTER, LLC NPI is 1689260341. The provider is registered as an organization entity type.
The provider .

The provider's business location address is:

875 S VANGUARD WAY
MERIDIAN, ID
ZIP 83642-552
Phone: (208) 960-0870

The provider's authorized official is Jennifer Bloxham .
The authorized official title is Administrator and has the following contact phone number (208) 302-7960.

The CLIA number assigned to this NPI record is 13D2215010 - ambulatory surgery center with a certificate type of Certificate of Waiver.

The following top HCPCS codes were publicly reported for this provider under the Medicare program for the year 2016. The reported codes are based on the top codes for each available Medicare specialty, excluding evaluation and management codes.

  • Injection, bupivacaine liposome, 1 mg (HCPCS:C9290)
  • Destruction of lower or sacral spinal facet joint nerves using imaging guidance, single facet joint (HCPCS:64635)
  • Removal of cataract with insertion of prosthetic lens (HCPCS:66984)
  • Injection of upper or middle spine facet joint using imaging guidance, single level (HCPCS:64490)
  • Injection of anesthetic and/or steroid drug into sacral spine nerve root using imaging guidance, single level (HCPCS:64483)
  • Removal of nasal air passage under lining tissue (HCPCS:30140)
  • Injection of lower or sacral spine facet joint using imaging guidance, single level (HCPCS:64493)
  • Repair of tendon of upper eyelid (HCPCS:67904)
  • Repair of brow paralysis (HCPCS:67900)
  • Reshaping of nasal cartilage (HCPCS:30520)
  • Repair of collapsed nostril using implant in side of nose (HCPCS:30468)
  • Injection of substance into lower spine canal using imaging guidance (HCPCS:62323)

The enumeration date for this NPI number is 12/17/2020 and was last updated on 5/14/2025.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1261QA1903XClinic/CenterAmbulatory SurgicalYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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